Tournique And Obstetric Analysis

The international Confederation of Midwives (ICM) defines the midwife as a person who has successfully completed a nationally recognized midwifery education program, is qualified for registration, and competent to practice in midwifery. As a midwifery student, I will explore the philosophies of this profession whilst working with my first continuity of care experience woman and her family. In this essay, I will examine the roles of the midwife, the scope of the practice for midwives and midwifery students, and search the value of the midwifery partnership and the importance of the woman centered care. I will also clarify the legal, professional and ethical responsibilities of the midwife in accordance with national standards and code. Analyzing

Aniya presented to Children’s Hospital Emergency department on 8/4/2017 as a level II trauma after she had been reportedly hit by a train. Per EMS Aniya was attempting to jump on the train and fell and the train “ran over” her R leg, where there was a deep leg laceration below the knee. She was admitted to the hospital. She was taken to the OR for irrigation and debridement of the right knee joint and right knee would as well as VAC-assisted closure of right knee wound. She was taken back to the OR on 8/6/17 for another irrigation, debridement and VAC change. On 8/8/17 she was taken to the OR again and diagnosed with complex degloving injury of the right medial knee region. She received skin grafting to the tight lower extremity and application

Imagine being one of the first person to see the smile on a couple’s face when they find out the gender of their unborn child, or even hearing its heart beat for the first time. A Prenatal Sonography technician or also an Ultrasound technician is a person who uses machines that send out high ultrasound waves to view images. Prenatal Sonographers use these machines to specifically view images of a females’ reproductive system and also an unborn child. The waves that are sent out produce an echo that is then converted into photo images to see the placenta, ovaries, the amniotic sac and even the fetus.

The second wound you can get on the battlefield is a gunshot wound from a pistol or a rifle. One way to treat any gunshot wound, more specifically in the arm or leg, is to apply direct pressure on the wound and to lift it above the heart to stop the bleeding. Gunshot wounds were one of the most common injuries on the battlefield and they had to be prepared to treat them and make sure their patient or soldier

Pressure ulcer prevention (PUP) in surgical patients has become a major interest in acute care hospitals with the increased focus on patient safety and quality of care. A pressure ulcer is any area of skin or underlying tissue that has been damaged by unrelieved pressure or pressure in combination with friction and shear. Pressure ulcers are caused due to diminished blood supply which in turn leads to decreased oxygen and nutrient delivery to the affected tissues (Tschannen, Bates, Talsma, &Guo, 2012). Pressure ulcers can cause extreme discomfort and often lead to serious, life threatening infections, which substantially increase the

The beginning of phlebotomy has been well documented before the 5th century B.C. It was thought that all aspects of the body’s health came from the four body humors: blood, phlegm, yellow bile, and black bile (wikipedia/humorism). In times of illness, health was restored by purging, starving, vomiting, and bloodletting. Astrology played a big part in healing according to the phases of the moon. Healing was mostly controlled by priests, and then passed along to barbers who took over the daunting tasks of body healing. The red and white stripes of the barber’s pole signified a place of healing. Red represented the blood, and white represented the tourniquet. Using tools called “spring loaded lancet,” “scarificator,” and “fleam,” the body was to be brought back to a normal state (Mestel, wikipedia). The barbers were armed with tools to amputate, pull teeth, and remove blood (Ford, Graham). Little did they know that the popularity of draining the body of between 1 to 4 pints of blood could be deadly. Leeches were another popular bloodletting instrument. After engorging themselves, they would then fall off the body where the blood would continue to ooze out due to clot inhibitor they left behind (Mestel). Another popular procedure called cupping involved making a cut into a vein and applying a heated vacuum flow cup over the incision. In 1799, our first president George Washington, was drained of nine

THESIS: Compartment syndrome is a common condition with different causes that affects a wide variety of people.

Compartment syndrome results when parenchymal interstitial pressure exceeds capillary perfusion pressure. In the vast majority of cases compartment syndrome develops as a result of intrafascial swelling caused by edema associated with ischemia/reperfusion injury or musculoskeletal trauma. When the pressure exceeds the pressure of compartment capillary perfusion by more than 30 mmHg, compartment muscle ischemia occurs. After 6-8 hours of ischemia, irreversible muscle necrosis within the compartment occurs. Currently clinical Fig. 1. a Dorsal forearm and hand wounds 8 days post fasciotomy and closure. b Volar forearm fasciotomy at the 2nd revision post fasciotomy. Dead muscle tissue was sharply resected. There was no bleeding, no contractility, and poor consistency. a b

In 1920, Earle Dickson made an invention that would change every parent, child, and chef's life; the band-aid. His wife was a bit of a klutz; she frequently burned or cut herself while cooking. Dickson had a brilliant idea. He cut patches of gauze and applied them to strips of adhesive tape. He then covered the strips with the fabric crinoline. Dickson worked at Johnson & Johnson, and he thought that everyone there would be impressed with his idea. Sure enough, when he pitched the idea, his boss loved it. Without the band-aid, helping my wounds would be nearly impossible.

As great as the tourniquet is a lot of the times it’s not enough. For the longest time they just used clothes and rags to stop the bleeding which is a terrible way to go about stopping the bleeding. Although the technology for stopping blood loss has gone up drastically to the point where bandages use chemicals to cauterize the wound and bandages that stop bleeding very well but it can still be futile to try with standard

A 63-year-old male patient is admitted for an infected surgical incision of fasciotomy in the right low extremity blow the knee. He is medically diagnosed with peripheral arterial disease (PAD), and femoral popliteal bypass surgery is performed to treat the blocked area of femoral artery in the leg. Postoperatively acute compartment syndrome occurred in the affected leg. Fasciotomy is used to treat muscular bleeding inside that increases pressure in the compartment.

Whenever a physiotherapist wants to create a general treatment protocol, she can rely on the ontology to select the exercises for each phase. Once the number of phases of the protocol has been defined alongside the conditions of each phase, a new set of classification rules for the selection of candidate exercises are created. Then, one ontology class is created automatically for each phase of the protocols based on the classification rules (Fig. 35d). For example, class CandExe2FlexGlenoJ represents the candidate exercises for phase 2 of the protocol for patients with limited flexion of the glenohumeral joint. Each of the Mov* classes in the definition refer to the movements that the exercise must have to be classified in CandExe2FlexGlenoJ.

Being pregnant for the first time has made me aware of a phenomenon that I am convinced only a pregnant woman can truly understand. I call it “the open-season-on-pregnant-women syndrome,” for lack of a better name. Early in my pregnancy, my older sister warned me that having a baby is not the private affair I had always assumed it would be. Despite millions of years of babies, the idea of a new life is still fascinating enough to make even strangers want to share in the excitement and responsibility. To put it simply, the pregnant woman, and her fetus, are public domain.

Being in the medical field in general is difficult to get into, but although it is hard there are many perks in being a OBGYN, registered nurse, benefits such as paid leave, mandatory time off and sick leave. OBGYN would help deliver babies, take care of patient and do many more other things in their 8-12 hour shift. They can even work overtime and paid hourly, but in this job a person would need to have great personality, talkative, a leader, and organization skills. I wanted to become an OBGYN because of my dad and my grandma and because I have had hands on work in the hospital I do believe I am a good fit to be an OBGYN. I still intend to pursue this job because it has become my goal in life.

According to World Health Organisation (WHO), on an average, motor vehicle crashes have killed about 1.25 million people every year and also it has been observed that 90% of the world's fatalities on the roads occur in low-income and middle-income countries. India accounts for about 10% of road crash fatalities worldwide [45]. The control of hemorrhage (massive bleeding) is a critical step in first aid and field trauma care. This control is essentially done by applying pressure, elevation of bleeding site, usage of elastic field dressings, tourniquets and novel haemostatic dressings [29]. Among these methods, hemostatic dressings are used as last alternative, but it is the resourceful system of all. In this report, various forms of hemostatic materials and the products available in the market are reviewed.